Individual
DR. CANDACE L WATERS-WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LCPC
Contact information
Practice address
502 WASHINGTON AVE STE 725, TOWSON, MD 21204-4121
(410) 567-6105
Mailing address
502 WASHINGTON AVE STE 725, TOWSON, MD 21204-4121
(410) 567-6105
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4517
MD
Other
Enumeration date
07/10/2012
Last updated
05/02/2018
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